LSU First Wellness

LSU First is committed to helping our members achieve their best health. Routine preventive care, such as a primary care provider (PCP) visit, biometric screening/routine lab work, and other age-appropriate screenings often detect health issues early, when they are easier to treat. Preventive services are covered at 100% with a First Choice or In-Network provider.

2022 LSU First Wellness Credit

Beginning January 1, 2022, LSU First began offering a $25 a month wellness credit for employees and retirees who meet certain requirements. The credit is applied towards the member’s monthly premium with a potential annual savings of $300!

To qualify for the $25/month premium credit, the following requirements must be met:

  1. Continue to be enrolled in LSU First for the 2022 Plan Year
  2. Have a preventive visit with a Primary Care Physician (PCP), including biometric screening, between November 1, 2020 - October 31, 2021
  3. Enroll and participate in care coordination, if offered as an eligible participant, in the 2022 plan year.

LSU First participants who do not complete these requirements within the designated timeframe will not be eligible for the wellness credit for the 2022 plan year. 

LSU First reserves the right to alter requirements of the wellness credit eligibility each plan year. The wellness credit does not apply to the LSU First Medicare Retiree Plan. 

Please review your premium deductions to confirm the 2022 Wellness Credit is reflected. If you believe you have met the credit but do not see it applied, please contact WebTPA at 855-346-5781 by March 31, 2022. Appeals submitted after March 31, 2022 will be denied.


2023 LSU First Wellness Credit

To qualify or to continue the $25/month premium wellness credit for the 2023 plan year, the following requirements must be met:

  1. Continue to be enrolled in LSU First for the 2022 and 2023 plan years.
  2. Have a preventive visit with a Primary Care Physician (PCP) that includes biometric screening (height, weight, BMI, & blood pressure) and preventive lab work that includes a basic metabolic panel between November 1, 2021 - October 31, 2022.
  3. Active participation in care coordination, if identified as a candidate by HighCare, is required to maintain the wellness credit for the 2022 and 2023 plan years.  Plan members will be contacted directly by the care coordination team through HighCare. 

LSU First participants who do not complete the criteria for a Wellness Credit within the designated timeframe will not be eligible for the wellness credit for the 2023 plan year. LSU First reserves the right to alter requirements of the wellness credit eligibility each plan year. The wellness credit does not apply to covered dependents or to the LSU First Medicare Retiree Plan. 

Frequently Asked Questions

To qualify for the $25/month premium credit, employees or retirees must:

  1. Be enrolled in LSU First for the 2022 Plan Year,
  2. Have a preventive visit with a Primary Care Physician (PCP), including biometric screening/routine lab work, between November 1, 2020 - October 31, 2021,
  3. Enroll and participate in care coordination, if identified as an eligible participant, in the 2022 plan year.

The credit is available to employees and retirees for the 2022 Plan Year. Spouses and/or dependents are not eligible for the premium credit, but it is highly encouraged that all covered members receive an annual preventive visit and lab work.

Establishing a relationship with a Primary Care Physician (PCP) is crucial in providing preventive care and identifying and treating common medical conditions. PCPs have expertise in managing multiple treatments, medications, and the interactions between them. They can address the entire person, considering their values, beliefs, and preferences. They can also provide references to specialists, when needed.

To locate a PCP in the First Choice, Verity, or Aetna ASA Networks, you can search by the following specialties:

  • Family Practice
  • General Practice
  • Internal Medicine/Internist

The Affordable Care Act (ACA) requires that health insurance plans cover certain preventive services, including annual exams, immunizations, and screenings, from an In-Network provider without any cost sharing. This means that the visit is covered at 100% if received through the First Choice, Verity, or Aetna ASA Networks.

See the following websites for more details:

NOTE: The Preventive Care services identified through the above links are recommended services. It is up to your provider to determine which services are best for you.

The $25 monthly wellness credit will be applied towards your monthly LSU First premium during the 2022 Plan Year.

No paperwork or form is necessary. The wellness exam and lab work will be identified through the claim(s) that your provider submits to WebTPA. If you do not see the wellness credit applied to your paycheck, please contact WebTPA no later than February 15, 2022 to inquire about your eligibility.

To confirm you have met the wellness exam and lab work requirement, please contact WebTPA by phone at 855-346-5781 or email at lsuservice@webtpa.com. You may also check your paystub to see if the credit has been applied, either as a separate line item or as a credit to your total monthly deduction. You can find a list of the 2022 LSU Health Plan premiums on the LSU First homepage sidebar.

The results of your preventive visit and biometric screening are personal and confidential and will not be shared with your employer.

A typical screening usually consists of height, weight, BMI measurements, and blood pressure as well as blood work to test for cholesterol and blood sugar. The lab work may vary by individual based on gender, age, and family history. Note that there may be some out-of-pocket costs if seeking care outside of the First Choice network.  

Care Coordination, provided by HighCare Health, provides personalized assistance to help eliminate barriers to health and well-being. The team works directly with members and their Primary Care Providers (PCPs) to identify, understand, and take control of health risks and chronic diseases. For more information on this free service, please see the Care Coordination flyer or contact them directly at 844-218-8740.

HighCare Health will reach out directly to those who are identified as eligible participant via phone, email, and mail. Please verify that your Human Resource Management office and WebTPA have your correct contact information. Failure to participate in Care Coordination for those specifically identified will be at risk of losing the wellness credit mid-year.